Spiriva Respimat® Inhaler for COPD and Asthma Maintenance

What Spiriva® Is and How It Works

Spiriva Respimat Inhaler contains tiotropium bromide, a long-acting muscarinic antagonist (LAMA). It is used for long-term maintenance treatment of chronic obstructive pulmonary disease (COPD), including chronic bronchitis and emphysema, and for maintenance treatment of asthma. It is not a rescue inhaler for sudden breathing problems. Many people compare the Spiriva Respimat Inhaler price and choose to order online, including those buying Spiriva Respimat Inhaler without insurance.

Spiriva Respimat delivers a slow-moving soft mist that you inhale by mouth. Tiotropium blocks M3 receptors in the airway smooth muscle and reduces bronchoconstriction. The effect lasts 24 hours, so dosing is once daily at the same time each day.

YouDrugstore is a licensed Canadian pharmacy headquartered in Manitoba, and our pharmacists review each prescription before dispensing.

Two strengths are available. For COPD, the typical dose is two inhalations of 2.5 mcg each (total 5 mcg) once daily. For asthma, the usual dose is two inhalations of 1.25 mcg each (total 2.5 mcg) once daily. Follow your prescriber’s directions on strength and use. A valid prescription is required.

Dosage and Usage

• Before first use: assemble the Respimat device and insert the cartridge as directed in the package insert.
• Prime the inhaler: turn the base, open the cap, press the dose-release button until a visible mist appears, then repeat three times.
• Daily dose: inhale two puffs once daily. COPD: 2.5 mcg x 2 puffs (5 mcg). Asthma: 1.25 mcg x 2 puffs (2.5 mcg).
• How to inhale: turn the base until it clicks, open the cap, breathe out fully, seal lips around the mouthpiece without covering the air vents, start a slow deep breath, press the button, continue to inhale slowly and deeply, then hold your breath for up to 10 seconds.
• Not for acute symptoms: keep a rapid-acting rescue inhaler for sudden breathing problems.
• Missed dose: take as soon as you remember on the same day. If it is the next day, skip the missed dose. Do not double the dose.
• Repriming: if not used for more than 3 days, release one spray toward the ground. If not used for more than 21 days, prime until you see a mist, then repeat three more times.
• Eye safety: avoid spraying into eyes. Blurred vision or eye pain may signal angle-closure glaucoma; seek care promptly.
• Device care: wipe the mouthpiece with a damp cloth or tissue weekly. Do not disassemble beyond the steps described in the manufacturer’s guide.

• Storage: store at 15–30 °C (59–86 °F). Do not freeze. Keep the cap closed when not in use.
• Shelf life after insertion: use within 3 months of first use. Note the date you insert the cartridge.
• Moisture and heat: keep dry. Do not leave in a hot car or near heat sources.
• Travel: carry in your hand luggage. Keep the device in its case to prevent accidental spraying.
• Handling: do not shake the device. Keep out of reach of children and pets.

Benefits and Savings

Spiriva Respimat helps open your airways all day with once-daily dosing. Many people report easier breathing, fewer flare-ups, and better exercise tolerance over time. The soft-mist device delivers a consistent dose with low inspiratory effort, which can help if you struggle with fast aerosol sprays.

Ordering Spiriva Respimat Inhaler online from YouDrugstore can save you 60–80% versus typical US prices. Your Spiriva Respimat Inhaler cost varies by strength (1.25 mcg or 2.5 mcg) and quantity. Multi-month supplies and select bulk promotions can lower the per-month cost, and we offer discreet, prompt shipping. These savings can be helpful if you are purchasing Spiriva Respimat Inhaler without insurance.

We work with licensed, vetted international partner pharmacies to source authentic brand medications, giving you a wide selection at affordable prices.

For occasional promotions, see our current offers: Spiriva Respimat Inhaler coupon.

Side Effects and Safety

• Dry mouth
• Cough or throat irritation
• Hoarseness or voice changes
• Sinusitis or upper respiratory tract infection
• Headache or dizziness
• Constipation or abdominal discomfort
• Nosebleed
• Urinary difficulties (hesitancy or retention)

Serious effects are uncommon but can include paradoxical bronchospasm, hypersensitivity reactions (including rash, itching, or swelling), severe narrow-angle glaucoma symptoms (eye pain, blurred vision, halos), and acute urinary retention. Use caution if you have narrow-angle glaucoma, prostatic hyperplasia, bladder neck obstruction, or moderate to severe kidney impairment. Seek medical care for severe or unusual symptoms. Do not use more than prescribed.

Onset Time

Some people feel easier breathing within the first day. Lung function often improves within hours of the first dose. Symptom control usually continues to build over 1–2 weeks as daily dosing stabilizes. Fewer COPD or asthma exacerbations are typically seen after sustained use over several weeks to months.

Keep taking your daily dose as prescribed. Spiriva Respimat is preventive maintenance, not a rescue treatment for acute shortness of breath.

Compare With Alternatives

Spiriva Respimat (tiotropium) is a LAMA. Inhaled corticosteroids (ICS) are another controller option that target airway inflammation rather than airway smooth muscle. If you need an ICS, fluticasone products such as Flovent® Diskus or Flovent® Hfa may be considered based on your prescription.

Beclomethasone is another ICS choice often used for asthma control; see Qvar® Aerosol Inhaler. Some patients use LAMA plus a long-acting beta agonist (LABA), or triple therapy with ICS/LABA/LAMA, for added control under a prescriber’s guidance. Device feel, dosing frequency, and your response help determine the best option.

Combination Therapy

• With ICS for asthma: add Spiriva Respimat to an inhaled corticosteroid if you remain symptomatic. Keep once-daily tiotropium and continue your ICS as directed.
• With LABA for COPD: some plans use LAMA + LABA. Follow your prescriber’s inhaler schedule to avoid overlap and ensure correct order of use.
• Triple therapy: ICS + LABA + LAMA may reduce exacerbations in moderate to severe COPD. Technique training is important to get full benefit.
• Rescue inhaler: continue a short-acting bronchodilator for sudden symptoms. Spiriva Respimat does not replace your rescue medicine.
• Anticholinergic load: avoid combining multiple anticholinergics unless directed, to reduce dry mouth, constipation, or urinary retention risks.

Patient Suitability and Cost-Saving Tips

Spiriva Respimat is for adults with COPD and for asthma maintenance in appropriate patients. It should not be used to relieve sudden bronchospasm. It may not suit people with a history of severe narrow-angle glaucoma, significant urinary retention, or certain allergies to tiotropium, ipratropium, or related compounds. Tell your clinician about kidney problems, pregnancy, or breastfeeding.

Good inhaler technique matters. Have your technique checked periodically, and use the same time each day. If you experience persistent mouth dryness, sip water or rinse after use. Avoid spraying into your eyes.

Budgeting and access: your Spiriva Respimat Inhaler cost depends on dose and pack size. Ordering a 2–3 month supply can decrease the monthly price. You can set simple reorder reminders in your account so you do not run out. If a generic Spiriva Respimat Inhaler becomes available, we will display it alongside the brand to help you compare. These steps may help if you pay the Spiriva Respimat Inhaler cash price or shop without insurance.

Authoritative Sources

Manufacturer brand site for Spiriva Respimat

Health Canada Drug Product Database

FDA Medication Guides

Order Spiriva Respimat® from YouDrugstore: add to cart, upload your prescription, and we ship with prompt, express, cold-chain handling.

This content is for education only and does not replace advice from your healthcare professional.